REALM: RAG-Driven Enhancement of Multimodal Electronic Health Records Analysis via Large Language Models

The integration of multimodal Electronic Health Records (EHR) data has significantly improved clinical predictive capabilities. Leveraging clinical notes and multivariate time-series EHR, existing models often lack the medical context relevent to clinical tasks, prompting the incorporation of external knowledge, particularly from the knowledge graph (KG). Previous approaches with KG knowledge have primarily focused on structured knowledge extraction, neglecting unstructured data modalities and semantic high dimensional medical knowledge. In response, we propose REALM, a Retrieval-Augmented Generation (RAG) driven framework to enhance multimodal EHR representations that address these limitations. Firstly, we apply Large Language Model (LLM) to encode long context clinical notes and GRU model to encode time-series EHR data. Secondly, we prompt LLM to extract task-relevant medical entities and match entities in professionally labeled external knowledge graph (PrimeKG) with corresponding medical knowledge. By matching and aligning with clinical standards, our framework eliminates hallucinations and ensures consistency. Lastly, we propose an adaptive multimodal fusion network to integrate extracted knowledge with multimodal EHR data. Our extensive experiments on MIMIC-III mortality and readmission tasks showcase the superior performance of our REALM framework over baselines, emphasizing the effectiveness of each module. REALM framework contributes to refining the use of multimodal EHR data in healthcare and bridging the gap with nuanced medical context essential for informed clinical predictions.

Boosting Feedback Efficiency of Interactive Reinforcement Learning by Adaptive Learning from Scores

Interactive reinforcement learning has shown promise in learning complex robotic tasks. However, the process can be human-intensive due to the requirement of large amount of interactive feedback. This paper presents a new method that uses scores provided by humans, instead of pairwise preferences, to improve the feedback efficiency of interactive reinforcement learning. Our key insight is that scores can yield significantly more data than pairwise preferences. Specifically, we require a teacher to interactively score the full trajectories of an agent to train a behavioral policy in a sparse reward environment. To avoid unstable scores given by human negatively impact the training process, we propose an adaptive learning scheme. This enables the learning paradigm to be insensitive to imperfect or unreliable scores. We extensively evaluate our method on robotic locomotion and manipulation tasks. The results show that the proposed method can efficiently learn near-optimal policies by adaptive learning from scores, while requiring less feedback compared to pairwise preference learning methods. The source codes are publicly available at https://github.com/SSKKai/Interactive-Scoring-IRL.

Contrastive Cross-domain Recommendation in Matching

Cross-domain recommendation (CDR) aims to provide better recommendation results in the target domain with the help of the source domain, which is widely used and explored in real-world systems. However, CDR in the matching (i.e., candidate generation) module struggles with the data sparsity and popularity bias issues in both representation learning and knowledge transfer. In this work, we propose a novel Contrastive Cross-Domain Recommendation (CCDR) framework for CDR in matching. Specifically, we build a huge diversified preference network to capture multiple information reflecting user diverse interests, and design an intra-domain contrastive learning (intra-CL) and three inter-domain contrastive learning (inter-CL) tasks for better representation learning and knowledge transfer. The intra-CL enables more effective and balanced training inside the target domain via a graph augmentation, while the inter-CL builds different types of cross-domain interactions from user, taxonomy, and neighbor aspects. In experiments, CCDR achieves significant improvements on both offline and online evaluations in a real-world system. Currently, we have deployed CCDR on a well-known recommendation system, affecting millions of users. The source code will be released in the future.

Improving Accuracy and Diversity in Matching of Recommendation with Diversified Preference Network

Recently, real-world recommendation systems need to deal with millions of candidates. It is extremely challenging to conduct sophisticated end-to-end algorithms on the entire corpus due to the tremendous computation costs. Therefore, conventional recommendation systems usually contain two modules. The matching module focuses on the coverage, which aims to efficiently retrieve hundreds of items from large corpora, while the ranking module generates specific ranks for these items. Recommendation diversity is an essential factor that impacts user experience. Most efforts have explored recommendation diversity in ranking, while the matching module should take more responsibility for diversity. In this paper, we propose a novel Heterogeneous graph neural network framework for diversified recommendation (GraphDR) in matching to improve both recommendation accuracy and diversity. Specifically, GraphDR builds a huge heterogeneous preference network to record different types of user preferences, and conduct a field-level heterogeneous graph attention network for node aggregation. We also innovatively conduct a neighbor-similarity based loss to balance both recommendation accuracy and diversity for the diversified matching task. In experiments, we conduct extensive online and offline evaluations on a real-world recommendation system with various accuracy and diversity metrics and achieve significant improvements. We also conduct model analyses and case study for a better understanding of our model. Moreover, GraphDR has been deployed on a well-known recommendation system, which affects millions of users. The source code will be released.